title: Strictureplasty with a pedunculated jejunal patch in Crohn's disease of the duodenum.
abstract: Surgical treatment for duodenal stenosis caused by Crohn's disease is only indicated in symptomatic duodenal obstruction when conservative treatment has failed. Previously described operative procedures include strictureplasty for short stenoses and bypass or resectional procedures, if duodenal stenosis is extensive. In this case of an extensive duodenal Crohn's stenosis, we performed a strictureplasty of the duodenum with a pedunculated jejunal patch. Thus, duodenal passage could be well preserved, and the patient has remained asyptomatic during a follow-up of more than 9 months.
authors.affiliation: Department of Surgery, University Hospital-Eppendorf, Hamburg, Germany.
authors.forename: C F
authors.initials: CF
authors.lastname: Eisenberger
authors.forename: J R
authors.initials: JR
authors.lastname: Izbicki
authors.forename: D C
authors.initials: DC
authors.lastname: Broering
authors.forename: C
authors.initials: C
authors.lastname: Bloechle
authors.forename: M
authors.initials: M
authors.lastname: Steffen
authors.forename: S B
authors.initials: SB
authors.lastname: Hosch
authors.forename: C E
authors.initials: CE
authors.lastname: Broelsch
mesh_terms: D000328:Adult; D003424:Crohn Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D011859:Radiography